Healthcare Provider Details

I. General information

NPI: 1932017852
Provider Name (Legal Business Name): KAREN MAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3517 NE M L KING BLVD
PORTLAND OR
97212-2060
US

IV. Provider business mailing address

3517 NE M L KING BLVD
PORTLAND OR
97212-2060
US

V. Phone/Fax

Practice location:
  • Phone: 503-475-8583
  • Fax:
Mailing address:
  • Phone: 503-475-8583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberCOS-HA-844336
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: